11/23/1994
SECTI.DN 00500
FORM OF AGREEMENT
Name:
forth as of the ~3 ~ day of November in
between the OWNER who is THE BOARD OF
of Monroe County Florida; and the following
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The Brewer Company of Florida I ~ :'
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This agreement is set
the year of 1994
COUNTY COMMISSIONERS
CONTRACTOR:
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Address:
10400 N.W. 121 Way
Miami, Florida 33178
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Phone:
(305) 364-3595
for the purpose of performing all of the Work required by the
Contract Documents for the following PROJECT:
CUDJOE KEY ROADS I I
Cudjoe Key
Monroe County, Florida
The Project has been designed by MONROE COUNTY ENGINEERING
DEPARTMENT who is hereafter referred to as the
ARCHITECT/ENGINEER and who assumes all duties and
responsibilities and has the rights and authority assigned to the
ARCHITECT/ENGINEER in the Contract Documents in connection with
completion of the Work in accordance with the Contract Documents.
The OWNER and the CONTRACTOR agree as set forth as follows:
Article 1 - The Contract Documents
The Contract Documents consist of this Agreement, the
Request for Bid, the Conditions of the Contract (General and
Supplementary), the Supplementary Insurance Documents, the
Special Conditions, the General Requirements, the Technical
Specifications, the Drawings, and all Addenda issued prior
to and all Modifications issued after execution of this
Agreement. These form the Contract, and all are as fully a
part of the Contract as if attached to this Agreement or
repeated herein. An enumeration of the Contract Documents
appears in Article 7.
09/09/94
FORM OF AGREEMENT
00500-1
Article 2 - The Work
The Contractor shall perform all the Work required by the
Contract Documents for the following Scope of Work:
A. The Scope of Work consists of roadway improvements to
local subdivision streets in Cudjoe Key which includes
base widening, regrading roadway shoulders, leveling,
resurfacing, striping, temporary striping, sign
relocation and new installation and other related
roadway construction as included in the Technical
Specifications.
B.
The Contractor shall: provide all labor,
materials, supplies, equipment, tools,
equipment, transportation, inspection,
execution and completion of all Work as
the Drawings and Technical Specifications.
supervision,
construction
and proper
specified on
C.
The Specifications contained herein
be the minimum standards required.
comply with all applicable Federal,
and ordinances.
are considered to
Construction shall
State, Local codes
D. This contract is subject to the prov1s1ons of Section
255.05, F.S., and those provisions of Chapter 713,
F.S., which are incorporated therein.
E. This written contract and attached contract documents
represent the entire agreement between the parties and
may not be modified except as provided herein.
F. This agreement is to be governed by the laws of the
State of Florida.
Article 3 - Schedule
The CONTRACTOR shall commence Work to be performed under this
Contract no later than ten (10) calendar days from Notice to
Proceed and shall be substantially completed no later than
one hundred and twenty (120) calendar days from the
Commencement Date. The CONTRACTOR also agrees to be
complete and ready for final payment in accordance with the
General Conditions no later than thirty (30) calendar days
from the Substantial Completion Date. Substantial
Completion shall be determined by the County Engineer.
The OWNER and the CONTRACTOR recognize that time is of the
essence in this Contract and that the OWNER will suffer
10/11/94
FORM OF AGREEMENT
00500-2
financial loss if the Work is not completed within the times
specified above, plus any extensions of time allowed in
accordance with the General Conditions. They also recognize the
delays, expense and difficulties involved in proving in a legal
proceeding the actual loss suffered by OWNER if the Work is not
completed on time. Accordingly, instead of requiring such
proof, OWNER and CONTRACTOR agree that as liquidated damages for
delay (but not as a penalty) CONTRACTOR shall pay OWNER fifty
dollars ($50.00) for each day that expires after the time
specified above for Substantial Completion until the Work is
substantially complete.
The OWNER and CONTRACTOR agree that work on the project will be
continuous from the commencement date through to the completion
date. Any demobilization once the work has started requires
prior approval by the OWNER.
Article 4 - Contract Price
The OWNER shall pay the CONTRACTOR for completion of the Work in
accordance with the Contract Documents in current funds in the
following amount subject to uni t price actual quanti ty
variations:
$ Two hundred thirty six thousand six hundred
(WORDS)
and thirty one dollars and sixty eight cents
Article 5 - Payment Procedures
The CONTRACTOR shall submit
accordance with the General
Payment will be processed
Conditions.
$236,631.68
(DOLLARS)
Applications
Conditions.
as provided
for Payment in
Applications for
in the General
The OWNER shall make progress payments on account of the
Contract Price on the basis of the CONTRACTOR~S Application for
Payment as recommended by the COUNTY ENGINEER once per month
during construction. All progress payments will be on the basis
of the progress of the Work measured in accordance with the
General Conditions and Supplementary Conditions of the Contract.
Payment will be made approximately one (1) month from the
submission of the application if all documentation is complete.
Retention in the amount of ten percent (10%) will be withheld
from each progress payment until final payment is made.
Upon final completion and acceptance of the Work in accordance
with the General Conditions and upon submittal of all closeout
documentation, and compliance with F.S.255.05 and F.S. 713,
OWNER shall pay the remainder of the Contract Price,
including release of retention, as recommended by the
COUNTY ENGINEER.
09/09/94
FORM OF AGREEMENT
00500-3
Article 6 - Contractor's Representations
In order to induce OWNER to enter into this Contract,
CONTRACTOR makes the following representations:
1. CONTRACTOR has familiarized himself with the
nature and extent of the Contract Documents, Work,
site, locality, and all local conditions and Laws
and Regulations that in any manner may affect
cost, progress, performance, or furnishing of the
Work.
2. The CONTRACTOR has studied carefully all reports of
explorations and tests of subsurface conditions and
drawings of physical conditions which are included
in the Contract Documents.
3. The CONTRACTOR has obtained and carefully studied
(or assumes responsibility for obtaining and
carefully studying) all such examinations,
investigations, explorations, tests, reports, and
studies which pertain to the subsurface of physical
conditions at or contiguous to the site or
otherwise may affect the cost, progress,
performance or furnishing of the Work as
CONTRACTOR considers necessary for the performance
or furnishing of the Work at the Contract Price,
wi thin the Contract Time and in accordance with
the other terms and conditions of the Contract
Documents, including specifically the provisions
of paragraph 4.2 of the General Conditions; and no
additional examinations, investigations,
exploration, tests, reports, studies, or similar
information or data be or will be required by the
CONTRACTOR for such purposes.
4. The CONTRACTOR has reviewed and checked all
information and data shown or indicated on the
Contract Documents wi th respect to existing
Underground Facilities at or contiguous to the site
and assumes responsibility for the accurate location
of said Underground Facilities.
5. The CONTRACTOR has correlated the results of all
such observations, examinations, investigations,
explorations, tests, reports, and studies with the
terms and conditions of the Contract Documents.
6. The CONTRACTOR has given the OWNER written notice
of all conflicts, errors, or discrepancies that he
has discovered in the Contract Documents and the
written resolution thereof by the OWNER is
acceptable to the CONTRACTOR.
09/09/94
FORM OF AGREEMENT
00500-4
Article 7 - Contract Documents
The Contract Documents which comprise the entire agreement
between the OWNER and the CONTRACTOR concerning the Work
consist of the following:
1. Notice of Award
2. This Agreement (pages 1 to 7, inclusive).
3. Public Construction Bond
4. Bidding Documents - Notice of Calling for Bids,
Instructions to Bidders, Bid Proposal, Pre-Bid
Substitutions, Scope of Work, Milestone Schedule
5. Notice to Proceed
6. General Conditions (pages 0 to 31, inclusive).
7. Supplementary Conditions (pages 1 to 2, inclusive).
8. Supplementary Insurance Documents (pages 1 to 11,
inclusive) .
9. Special Conditions (pages 1-8, inclusive).
10. General Requirements - Measurement and Payment,
Application for PaYment, SUbmittals, Progress
Schedules, Temporary Controls, Construction Cleaning,
and Post-Bid Substitutions.
11. Technical Specifications.
12. Drawings, consisting of a cover sheet and sheets
numbered -1- through -1I- , inclusive with each
sheet bearing the following general title:
CUDJOE KEY ROADS II
Cudjoe Key
13.
Addenda numbers
to
, inclusive.
14. CONTRACTOR's Bid Proposal (pages 1 to 16, inclusive).
There are no Contract Documents other than those listed above
in this Article. The Contract Documents may only be amended,
modified, or supplemented as provided in the General
Conditions.
09/09/94
FORM OF AGREEMENT
00500-5
Article 8 - Indemnification and Hold Harmless Agreement.
The Contractor covenants and agrees to indemnify and hold
harmless Monroe County Board of County Commissioners from
any and all claims for bodily injury (including death),
personal injury, and property damage (including property
owned by Monroe County) and any other losses, damages, and
expenses (including attorney's fees) which arise out of, in
connection with, or by reason of services provided by the
Contractor or any of its Subcontractor(s) in any tier,
occasioned by the negligence or other wrongful act or
omission of the Contractor or its Subcontractor ( s ) in any
tier, their employees, or agents.
In the event the completion of the project (to include the
work of others) is delayed or suspended as a result of the
Contractor's failure to purchase or maintain the required
insurance, the Contractor shall indemnify the County from
any and all increased expenses resulting from such delay.
The first ten dollars ($10.00) of remuneration paid to the
Contractor is for the indemnification provided for above.
The extent of liability is in no way limited to, reduced, or
lessened by the insurance requirements contained elsewhere
within this agreement.
Article 9 - Miscellaneous.
Terms used in this Agreement which are defined in Article 1
of the General Conditions will have the meanings indicated
in the General Conditions.
No assignment by a party hereto of any rights under or
interests in the Contract Documents will be binding on another
party hereto without the written consent of the party sought
to be bound; and specifically but without limitation moneys
that may become due and moneys that are due may not be
assigned without such consent (except to the extent that the
effect of this restriction may be limited by law), and unless
specifically stated to the contrary in any written consent to
an assignment no assignment will release or discharge the
assignor from any duty or responsibility under the Contract
Documents.
OWNER and CONTRACTOR each binds itself, its partners,
successors, assigns and legal representatives to the other
party hereto, its partners, successors, assigns and legal
representatives in respect of all covenants, agreements and
obligations contained in the Contract Documents.
09/09/94
FORM OF AGREEMENT
00500-6
Article 10 - Other Provisions
In cases of conflict wi thin the described Contract Documents
in Article 7 of this Form of Agreement, the order of precedence
shall be as follows:
1. This Agreement
2. Bidding Documents with all/any addenda
3. General Requirements
4. Supplementary Conditions
5. General Conditions
6. Technical Specifications
7. Drawings (large scale detail drawings over smaller
scale general drawings)
IN WITNESS WHEREOF, the OWNER and CONTRACTOR have signed this
Agreement in quadruplicate. One counterpart each has been delivered
to the OWNER, CONTRACTOR, COUNTY ENGINEER and COUNTY PURCHASING
DEPARTMENT. All portions of the Contract Documents have been signed
or identified by the OWNER and CONTRACTOR or by the COUNTY ENGINEER
on their behalf.
This Agreement will be effective on N OV'~<< d- 3>
, 19~.
OWNER: Monroe County BOCC
The Brewer C..ompany of Florida Inc.
CONTRACTOR " ,
Walter R. Brewer
Monroe County, FL
By cSlJA:~-F~a~w~
May /Chairman
Attest tP~~.cA)~f'<<J
Deputy erk
Address for giving notices
By
President
Attesf1~~d,j~ Gwen Ann L Salt
Assistant Secretary
Address for giving notices
The Brewer Company of Florida, Inc.
Monroe County Public Works
Engineering Department
5100 College Road
Key West, FL 33040
/ D YCo ,/f.,: (.LJ. / dJ/ t<J 4r
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/11/ ,,4rJ1," rL 33/7 P
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****************
/'PPROVrr> AS TO f!!(""'/!
~1~. ' FF~CfENCY.
I~~ I~~~BY~ O..,CD
... 7 fq
END OF SECTION 00500
09/09/94
FORM OF AGREEMENT
00500-7
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SECTION' DOll(
PROPOSAL )?OR~
BID TO: MONROE COWrY BOAR! OF CCUNTY )l'<N1;:) ONERS
cf 0 PURCHASING DRPIIWrME:NT'
PUBLIC SERVICE BUIlDING, ROOM 0 )~:
5100 COLLEGE ROAD, ,s'I'OCK ISLMD
KEY WEST, F:LORIDA ;\\04.0
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The undersigned, having carefully e;{amj~l!;d the Wox,.: ,so u teJ Bnee
Drawings, Specifications, Proposal, am ]\.ddenda tbe'eil .nd ether
Contract Documents for the construc~iarJf:
CUDJOE KEY ROADf I
Cudjoe :Key
Monroe County, FIc r-idcl
and having carefully examined the site where the WQ~k ;:c be
performed, having become familiar with :l .1 local C()ldit ems .including
labor affecting the cost thereof, and b.:1'!:ir.-g familLu' j Zt~d himsel f
with material availability, Federal" 3L:11:.e, and Lccal Ll\hJ,
ordinances, rules and regulations affec t; ng perforrnar.,,' 'E; 0 r: the Wor.r:: f
does hereby propose to furnish all labc r, mechanicsmperint:endents,
tools, material, equipment, transportatton services. nlll1
incidentals necessary to perform and ccmplE!te said He.'-};; and "JQrk
incidental hereto, in a workman-like mc,nner, in ccn ,:o:'rr,an=:e ,.lith said
Drawings, Specifications, and other Cortract Docwre'1t. 'n:]ucling
Addenda issued thereto.
The undersigned further certifies that he bas. perso,la l)'"nspected
the actual location of where the Work is to be perfc)rnedl together
with the local sources of supply andtt:a1~ he unders':ald,; ::he
conditions under which the Work is to le performed. l[he successful
bidder shall assume the risk of any and all costs and delays arising
from the existence of any subsurface or other laten'~:,:)hysical
condition which could be reasonably anticipated by =eterence to
documentary information provided and madE~ available ,md t:rom
inspection and examination of the site.
The undersigned shall perform the work: a1~ t;he Unit PI' LC(~ Indicated
on the following Bid Form. Further,. it: is understoodtlat tJle Bid
Form Quantities are estimated for evaluation purposes only and that
the final contract price will be deterni,ned from the:ICULl.l
quanti ties measured for payment in acccrdance with ":h::: Contract
Documents.
09/08/94
BID PROPOSAL
00110-2
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001 10 -- .3
BID PROPOSAL
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I acknowledge receipt of Addenda No.(s}
I have included pages 1 th~ 16 of the Bid Proposal which
entails the pro~l Form , the Sworn Statem~f Public
Entity Crimes ,the Non-Collusiojl Affidavit ,the Lobbyill
and .s>mflict of Intere~ Clause~, the Drug-Free Workplacef(
~, the Bid Bond~, and the Public Construction Bond____.
(Check mark items above. as a reminder that they aXe include(t~..:
Mailing Address:
'.
lhe Brewer Company of Florida, InC.
/()'-/('{) /VeL'. /cJ./ It/file;'
/
117; ff/1J/' rL().i~ i)/'I 33/-71
Phone Number:
(~{J6 30/ -351!J
,/
Date:
/ / ,- f-- 9L/'
Signed:
Walter R. Brewer
(Name)
President
Witness:
(Title)
~J1uJl ';ht~)
(Seal)
09/08/94
0011.
BID PROPOSAL
THE AMERICAN I"~STITUTE OF ARCHITECTS
I
AlA Doaum.nt ,4310
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that wa THE BREWER COMPANY OF FLORIDA, INC.
(ber. Usaon fullnam. lIDd addroA or lela! title of CODtrEtor)
al Principal, hereinafter called the Principal, and fIDELITY & DEPOSIT CO. OF MARYLAND
(bere i1ucn f\all D~O _d addrca or 181a! title of Surely)
,
a corporation duly organized under the laws of tha State of
Maryland
a8 S uraty,
h.relnafter call.d the Surety, are hold and firmly bound unto MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
(boro inion fuU DamD and addrcu or I.Sa! title or Owner)
.. Oblige., hereinafter c;alled the Obligee, In the sum of FIVE PERCENT OF AMOUNT OF BID
Oollars ($ 5%------------------ ).
for the payment of which 8um well and truly to b. mad., the said PrlnolpaJ and the said Surety, bind
: our.elva., our h.lr., ex.cutors, administrators, successors and uslgn., Jolntfy and s.veraJly, flrmly by
th... pr..entB.
I WHEREAS. the Principal has submitted a bid for
CUDJOE KEY ROADS II, CUDJOE KEY, MONROE COUNTY.
(here macn l\11J Dame lIDd addntl aad delCrlpuOll otProj6Ct)
FLORIDA
I NOW. THEREFORE. if the Oblleee shall accept the bid of the Principal and the Princfpal .hall enter into a
Contract with the Obligee in accordance with the tCrmJ of luch bid. and give such bond or bonds u may be
IIPecifled in the bidding or Contract Documents with good Bnd sufficient lurety for the fafthful performance of
such Contract and for the prompt paymcnt of labor Bnd materials fumiahed in the prolecutlon thereof, or in the
event of the failure of the Principal to enter such Contract Bnd give such bond or bonds, If the Principal shall
I pay to the Obligee the difference not to exceed the penalty hereof between the amount specified In said bid and
luch larger amount for which the Obligee may in good faith contract with another pany to perform the Work
covered by aaid bid, then thi- obligation shall be null and vofd. othcrwise to remain in full force and effect.
I SIgned And ..aI.d this 8th day Of 19 94
THE OF FLORIDA, INC.
I d I
.~ 12 ~;)
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(Seal)
Walter . Brewer (TItle) President
FIDELITY & DEPOSIT CO. OF MARYLAND
W~V iI(is,w.u
Itness)
[ /2 . ,(9Urll~
(. L~/ // --~
D. W. MATSON, III (TItle) Attorney-~act
(Seal)
~ "t'.' .1 ~:.,t' _'1 ~.
Brn i=J<uPOSAL
aOll0-~~
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE. BALTIMORE. MD
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of
Maryland, by C. M. PECOT, JR., Vice-President, and C. W. ROBBINS, Assistant Secretary, in pursuance of authority granted by Article
VI, Section 2, of the By-Laws of said Company, which are set forth on the reverse side hereof and are hereby certified to be in full force
and effect on the date hereof, does hereby nominate, constitute and appoint D. W. Matson, III and John W. Charlton,
both of Miami, Florida, EACH................. ,<........ ,................................
I S rue an aw u agent and Attorney-in-Fact, to make, execute, seal ) ) er, for, <:s: Its behalf as surety, and as its act and deed:
any and all bonds and undertakings....... /:....~~~\...........................
n e execution of such bonds or undertakings in pursuanc ese prese all be as binding upon said Company, as fully and
amply, to all intents and purposes, as if they had been duly ~. and ac~ ged by the regularly elected officers of the Company
at its office in Baltimore, Md., in their own proper pers~~ls P~of attorney revokes that issued on
behalf of D. W. Matson, III, dated~~~17, l~~iv
The said Assistant Secretary does hereby certify th~~. xtract se~n the reverse side hereof is a true copy of Article VI, Section
2, of the By-Laws of said Company, and is now ~~. ~~
IN WITNESS WHEREOF, the said Vice-Pre~~nd A~Si n~ecretary have hereunto subscribed their names and affixed the
Corporate Seal of the said FIDELITY AND D~srr COMP MARYLAND, thiL---h--h_____ht2J.h________h__h__h___h_______day of
----_____NQ_Y..~~l>_~_!:____________, A.D. 19_2;t :~ ~
S:.!S-" FIDEL~D DE. Il' COMPANY OF MARYLAND~ ~
A TI'EST SEAL f'
~ - ~
q,:"''1L''.'I)
By
VicetresidenJ \
J ss:
STATE OF MARYLAND
COUNTY OF BALTIMORE
On this___~_~_~h_h_day oL__Ng_yh~!!.ll'_~L____, A.D. 19_.9_3.., before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came C. M. PECOT, JR., Vice-President and C. W. ROBBINS, Assistant Secretary of the FIDELITY AND
DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding
instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth
and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate
Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said
instrument by the authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
JS oo.OLJ~~L~~
My Commission Expires--h---________AJ!Jll1JiLl.._l9.22..________h
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original
Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; and
I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially
authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
REsOLVED: . 'That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether made heretofore
or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon
the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this ~~~__
day oL__N~I~L~J!.!Q_~_L_________, 19_.93.
L1428c -030-2074
--~""S<a~ry
.....;~_-.-......
SECTION 00110
PUBLIC CONSTRUCTION BOND
BY THIS BOND, We
THE BREWER COMPANY OF FLORIDA, INC.
as Principal and FIDELITY & DEPOSIT CO. OF MARYLAND ,
MONROE COUNTY PUBLIC WORKS DIVISION
a corporation, as Surety, are bound to 5100 College Road, Key W~st, FL 33040
TWO HUNDRED THIRTY-SIX THOUSAND
herein called Owner, in the sum of $ SIX HUNDRED THIRTY-ONE & 68/100 ($236,631. 68:
for payment of which we bind ourselves, our heirs, personal
representatives, successors, and assigns, jointly and
severally.
THE CONDITION OF THIS BOND is that if Principal:
1-
19~,
Performs the Contract dated November 23, 1994 ,
between Principal and Owner for construction of
CUD JOE KEY ROADS II
Cudjoe Key
Monroe County, Florida
the contract being made a part of this bond by reference, at
the times and in the manner prescribed in the contract; and
2. Promptly makes payments to all claimants, as
defined in Section 255.05(1), Florida Statutes, supplying
Principal with labor, materials, or supplies, used directly
or indirectly by Principal in the prosecution of the work
provided for in the contract; and
3. Pays OWner all losses, damages, expenses, costs,
and attorney~s fees, including appellate proceedings, that
Owner sustains because of a default by Principal under the
contract; and
4. Performs the guarantee of all work and materials
furnished under the contract for the time specified in the
contract, then this bond is void; otherwise it remains in
full force.
5. And this Bond shall remain in full force and effect
for a period of one (1) year from the date of acceptance of
the project by the Owner and shall provide that the
09/08/94
BID PROPOSAL
00110-13
~.""""-;" -'.;',(' )--..........;:.."'...1-,1:..:..:- ",,,''tf~_.:t:..,.~-_;,' 'I ,.,-., .:'l....~.. .:...:. ~.~. J ._"1.' ...:r._' ..'
.- ------.-......
Contractor guarantees to repair or replace for said period of
one (1) year all work performed and materials and equipment
furnished that were not performed or furnished according to the
terms of the Contract, and shall make good, defects thereof
which have become apparent before the expiration of said period
of one (1) year. If any part of the project, in the judgement
of the Owner, for the reasons above stated needs to be
replaced, repaired or made good during that time, the Owner
shall so notify the Contractor in writing. If the Contractor
refuses or neglects to do such work within five (5) days from
the date of service of such Notice, the Owner shall have the
work done by others and the cost thereof shall be paid by the
Contractor or his Surety.
Any changes in or under the contract documents and .
compliance or noncompliance with any formalities connected with
the contract or the changes does not affect Surety's obligation
under this bond.
IN WITNESS ~mEREOF, the above bounded parties have executed
this instrument under their several seals, this 14th day of
December , 19-2L, A. D., the name and corporate seal of each
corporate party being hereto affixed and these presents duly
signed by its undersigned representative, pursuant to authority
of its governing body.
WITNESSES:
(If Sole Ownership or Partnership, two (2) Witnesses
required).
(If Corporation, Secretary Only will attest and affix
seal).
I
THE OF FLORIDA, INC.
_---- Walter R. Brewer
Presider).t (a f f ix
Signature of Authorized Officer seal)
"
The Brewer Company of Florida, Inc.
WITNESSES:
~fme of Firm
/ .wl-
ignature of Authorized
Nosistam ~ecrelary
Gwen Ann L. Salt
(affix
Officer seal)
Title
/1)'1 tl() ,.4./ U). 1:::2/ iJ{) /1,2 i
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Business Address
;n, /J I'lJ,';:L 33/1 P
City State Zip
~
09/08/94
BID PROPOSAL
00110-14
....J'N~~. i1-~'WW.I'"
__ ...L" ~_ _.. _ ._
. )~.
SURETY:
/ :
WITNESS:
/d/jo.) A~
(affix
III seal)
Y~TSON-CHARLTON SURETY GROUP, 770 S. Dixie Hwy.
Business Address
Coral Gables, FL 33146
City State
Zip
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"
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MATSON-CHARLTON SURETY GROUP
Name of Local Insurance Agency
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09/0a/94
BID PROPOSAL
00110-15
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-_t.~_~"~'<'''''~.___~''''L''''''''''~''~,r~.21.......,,~1IH''~''''''''_~_.tl~i.:!8'l.l~.&...'-'"
- - .--.....-~-,_........._. '-~. - ........ .~.- ~ .'~
CERTIFICATES AS TO CORPORATE PRINCIPAL
/12;;7.
, certify that I am the Secretary
I,
Gwen Ann L. Salt
of the Corporation named as Principal in the within bond; that
Walter R. Brewer
who signed the said bond on behalf
of the Principal, was then
President
of said Corporation;
that I know his signature, and his signature hereto is genuine; and
that said bond was duly signed, sealed, and attested for and in
behalf of said Corporation by
body.
SEAL
STATE OF FLORIDA )
ss
COUNTY OF DADE
Before me, a Notary Public, duly commissioned, qualified and acting,
personally appeared D. W. MATSON, III
to me well known, who
being by me first duly sworn upon oath, says that he is the
Attorney-in-Fact, for the
FIDELITY & DEPOSIT CO. OF MARYLAND
and that he has been authorized by
its President
to
execute the foregoing bond on behalf of the Contractor named therein
in favor of the Monroe County Public Works Division.
Subscribed and sworn to before me this
14th day of December
,
19----2lL, A.D.
(Attach Power of Attorney)
Notafiflgtc -II~
State of Florida-at-Large
My Commission Expires:
****************
END OF SECTION 00110
OLGA ROQUE
Notary Public, State of Florida
My Comm. expires Apr 5, 19~
No. CC361893
09/08/94
BID PROPOSAL
00110-16
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE, BALTIMORE. MD
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of
Maryland, by C. M. PECOT, JR., Vice-President, and C. W. ROBBINS, Assistant Secretary, in pursuance of authority granted by Article
VI, Section 2, of the By-Laws of said Company, which are set forth on the reverse side hereof and are hereby certified to be in full force
andeffectonthedatehereof,doesherebynominate, constitute a ndappoint D. W. Matson, III and John W. Charlton,
both of Miami, Florida, EACH............................................................
1 S rue an aw agent and Attorney-in-Fact, to make, execute, seal and ~er, for, an~ behalf as surety, and as its act and deed:
any and all bonds and undertakings.......... ~ . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . .
The said Assistant Secretary does hereby certify that
2, of the By-Laws of said Company, and is now in
IN WITNESS WHEREOF, the said Vice-Presid
Corporate Seal of the said FIDELITY AND DE
md____~gy.~~Q_~_L___________, A. D. 19 _9-J_ ()
FIDELITY
By
n t e execution of such bonds or undertakings in pursuance Q
amply, to all intents and purposes, as if they had been duly exe
Assistant Seere
STATE OF MARYLAND} ~
COUNTY OF BALTIMORE ss: ~
On this___~_g_r:.hm_day OL___~g_y~!!lt>_~I_____~.D. 19__9-3., before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came C. M. PECOT, JR., Vice-President and C. W. ROBBINS, Assistant Secretary of the FIDELITY AND
DEPOSIT COMPANY OF ,MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding
instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth
and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate
Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said
instrument by the authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
. I J ,/
~s CAAOL-'~F~~--N';;;';;-P-;';'j;;
~ My Commission Expires__________________Al!g1t!!.LL.J_92~____d________
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original
Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; and
I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially
authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RESOLVED: "That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether made heretofore
or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon
the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this !~-~-~---
day OLnP-!:_<:_~:l!E_~E____________________, 19__~~.
L142& -030-2074
~~
-------------------- ------- ----------------------------------
Assistant Secretary
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SECTION 00110
SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted
to j},i);t)/.:'tE- {-f;(j /lJ/c
(prin
~;/)#~ ()/: (fLiVA//? t{)f}/;)}/5~/!0~~c;;
name of the public en ity)
by
Walter R. Brewer President
(print individual's name and title)
lhe Brewer Company of Florida, Inc.
for
(print name of entity submitting sworn statement)
whose business is /D<!iv /f) (/J {;2( Ct)//(/ /ll/#J?l/, rc ~3/l1
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Employer Identification Number
(If the entity has no FEIN,
the individual signing this
. )
and (if applicable) it F~deral
(FEIN) is L~t';~- Co6-,ft/ 1 y
include the Social Security Number of
Sworn statement:
2. I understand that a "public entity crime" as defined in
Paragraph 287.133(1)(g), Florida Statues, means a violation of
any state or federal law by a person with respect to and
directly related to the transaction of business with any public
entity or with an agency or political subdivision of any other
state or of the United States, including, but not limited to,
any bid or contract for good or services to be provided to any
public entity or an agency or political subdivision of any
other state or of the United States and involving antitrust,
fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentation.
3. I understand that "convicted" or "conviction" as defined in
Paragraph 287.133(1)(b), Florida Statues, means a finding of
guilt or a conviction of a public entity crime, with or without
an adjudication of guilt, in any federal or state trial court
of record relating to charges brought by indictment or
information after July 1, 1989, as a result of a jury verdict,
nonjury trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph
287.133(1)(a),Florida Statutes, means:
1. A predecessor or successor of a person convicted of
a public entity crime: or
09/08/94
BID PROPOSAL
00110-5
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2. An entity under the control of any natural person who is
active in the management of the entity and who has been
convicted of a public entity crime. The term "affiliate"
includes those officers, directors, executives, partners,
shareholders, employees, members, and agents who are active
in the management of an affiliate. The ownership by one
person of shares constituting a controlling interest in
another person, or a pooling of equipment or" income among
persons when not for fair market value under an arm's length
agreement, shall be a prima facie case that ope person
controls another person. A person who knowingly enters into
a joint venture with a person who has b,een convicted of a
public entity crime in Florida during the preceding 36
months shall be considered an affiliate.
5.
I understand that a "person" as defined in Paragraph
287".133(1)(e), Florida Statues, means any natural person or
entity organized under the laws of any state or of the
United States with the legal power to enter into a binding
contract and which bids or applies to bid on contracts for
the provision of goods or services let by a public entity,
or which otherwise transacts or applies to transact business
with a public entity. The term "person" includes those
officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management
of an entity.
Based on information and belief, the statement which I have
marked below is true in relation to the entity submitting
this sworn statement. (Indicate which statement applies.)
6.
/'
~ Neither the entity submitting this sworn statement,
nor any of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active
in the management of the entity, nor any affiliate of the
entity has been charged with and convicted of a public
entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one
or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active
in the management of the entity, or an affiliate of the
entity has been charged with and convicted of a public
entity crime subsequent to July 1, 1989.
09/08/94
BID PROPOSAL
00110-6
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The entity submitting this sworn statement, or
one or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active
in the management of the entity, or an affiliate of the entity
has been charged with and convicted of a public entity crime
subsequent to July 1, 1989. However, there has been a
subsequent proceeding before a Hearing Officer of the State
of Florida, Division of Administrative Hearings and the
Final Order entered by the Hearing Officer determined that
it was not in the public interest to place the entity
submitting this sworn statement on the convicted vendor
list. (attach a copy of the final order)
. ...
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE)
ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID
THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN walCH IT IS FILED.
I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM TH PUBLIC ENTITY
PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OR THRESHOLD
AMOUNT PROVIDED IN SECTION 287.017, F ORIDA S FOR CATEGORY
TWO OF ANY CHANGE IN THE INFORMATION CONTAIN TEl FORM.
Walter R. Brewer
(signature)
/'C/()(/!=n )~~.PI ) 9 9cj
(date)
STATE OF
/I--f) KI Dft
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-,_./ / ,-
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Walter R. Brewer
who, after first being sworn by me,
Wa Iter R. Brewer
(name of individual signing)
affixed his/her signature in the space provided above on this
! day of "(/D//C)}I&_~K , 19 9</ .
I/n J! /J Lit)
(%~LtEt_l~, ~t~~~<-/
NOTARY PUBLIC
My commission expires:
";;';';'';;';~'' DEBRA A. BROWN
,.. W€r'1 .., My Commission I CC 21W84
\.:~./ EXPlRES August 29, 1996
<~~:..., Bonded Thru Western SUl'€ty Company
Form PUR 7068(Rev. 04/10/91)
09/08/94
BID PROPOSAL
00110-7
I,
SECTION. 00110
NON-COLLUSION AFFIDAVIT
I,
Walter R. Brewer
of the city of /llJ/I/J/)// /::-(~rJ~/)jA
according to law on my oath, and under penalty of perjury, depose
and say that;
1.) I am
Walter R. Brewer
President
of the firm of
The Brewer Company of Florida, Inc.
, the
bidder making the Proposal for the project described in
the notice for calling for bids for:
and that I exec~ted the said proposal with full authority
to do so;
2.) the prices in this bid have been arrived at independently
without collusion, consultation, communication or
agreement for the purpose of restricting competition, as
to any matter relating to such process with any other
bidder or with any competitor;
3.) unless otherwise required by law, the prices which have
been quoted in this bid have not been knowingly disclosed
by the bidder and will not knowingly be disclosed by the
bidder and will not be knowingly disclosed by the bidder
prior to bid opening, directly or indirectly, to any
other bidder or to any competitor; and
4.) no attempt has been made or will be made by the bidder
to induce any other person, partnership or corporation
to submit, or not to submit, a bid for the purpose of
restricting competition;
5.) the statements contained in this affidavit are true and
correct, and made with full knowledge that Monroe County
relies upon the truth of the statements contained in this
affidavit in awarding contracts for said project.
09/08/94
BID PROPOSAL
00110-8
(SiJ~~::::-Bidder) Walter R. ",ewer
~)[JJlEII)~~ f) /t/C; ;//
(Date)
STATE OF:
/:2{'i,e/I)A
'b /l-b E
COUNTY OF:
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Walter R. Brewer
who, after first being
sworn by me,
Walter R. Brewer
(name of individual signing)
affixed hiS/her signature in the space provided above on this
t day 0 f Il)tJ l/l:=:7J7 t:E--L , 19 tJ~1
dldtR/l ~4!t~)
NOTARY PUBLIC
My commission expires:
........ DEBRA A. BROWN
:"~::&~'f'" My CommisSion # CC 218984
: ~ j EXPIRES: August 29, 1996
"'::~!.~:-:t.~., Bonded Tl1ru Western Surety Company
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00110-9
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SECTION 00110
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
"
The Brewer Company of Florida, Inc.
"
(Company)
" warrants that it has not employed, retafned'or otherwise had
act on its behalf any former County officer or employee subject to
the prohibition of Section 2 of Ordinance No. 010-1990 or any
County officer or employee in violation of Section 3 of Ordinance
No. 010-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract wi out liability
and may also, in its discretion, deduct from the tract or
purchase price, or otherwise recover, the full t of any fee,
commission, percentage, gift, or consideration to he former
County officer or employee".
Walter R. Brewer
( gnature)
AJIJI/t=7f? ,6cK- ~~ /99 ~I
(Date)
STATE OF
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COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Walter R. Brewer who, after first being
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sworn by me, affixed his/her signature
Walter R. Brewer
(name of individual signing) in the space provided above on this
f day of ~/Ot/EF)).6t=~
, 19 9i. _ ~
t:JJI~ d. ~/f!CCL~
NOTARY PUBLIC
My commission expires:
...-..... DEllRA A. BROWN
/'~""" My Commission Ice 218984
:. ~ j EXP1RES August 29, 1996
",~:~!,~~., Bonded Thru Western Surety Company
~
09/08/94
BID PROPOSAL
00110-10
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SECTION 00110
DRUG-FREE WORKPLACE FORM
The undersigned Contractor in accordance with Florida Statute
287.087 hereby certifies that:
The Brewer Company of Florida, Inc.
(Name of Business)
1. Publish a statement notifying employees'that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the workplace and specifying
the actions that will be taken against employees for violations of
such prohibition.
2. Inform such employees about the dangers of drug abuse in the
workplace, the business/s policy of maintaining a drug-free
workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be imposed
upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or
contractual services that are under bid a copy of the statement
specified in subsection (1).
4. In the statement specified in subsection (1), notify the
employees that, as a condition of working on the commodities or
contractual services that are under bid, the employees will abide by
the terms of the statement and will notify the employer of any
conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation
occurring in the workplace no later than five (5) days after such
conviction.
5. Impose a sanction on, or require the satisfactory participation
in a drug abuse assistance or rehabilitation program if such is
available in the employee/s community, or any employee who is so
convicted.
6. Make a good faith effort to continue to maintain
workplace through implementation of this section.
/
/~his
As a person authorized to sign the statement, I cer.
firm complies fully with the above requirements.
Walter R. Brewer
MCP#5 Rev. 6/91
Bid Signature
~i')Ve7)7LJ~;e_ S'; /v9y
Date
09/08/94
BID PROPOSAL
00110-11
j'ACILlTIES
OR
~.~ACH1(\JFS
TYPE or
flUSINFSS
:U'~'~,ESS
'[iLlHESS
'IA\1E
r !f\ILI~JC
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CERTIFICATE
HONROE
RECEIPT NO. 517883
ISSUE DATE 10/19/33
LICENSE NBR 95-00098
OF .,;.CD!<1P E! EHCY
,.cOUNTY
CC: ENG II 219D
FEE DUE 150.00
LATE FEE .00
dE PA~ 150.00
c;;q:;01/[( ~ If h/~~
SECRETARY
THIS
CERTIFIES THAT
BREvlER, IJlALTER
B REvIER COf1P ANY
4825 S.W. 8ZND
HIAHI
R.
OF FLORIDA
STREET
FL 33143
QUALIFIES AS A ENGINEERING CONTRACTOR CLASS
II D IN GOOD STANDING AND
iTH1S CERTFICATE OF COHPETENCY IS VALID AND IN
FORCE UNTIL OCTOBER 31, 1995
_':;i~'""l,;,it
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1994-1995
OCCU~TIONAL LICENSE
STATE OF FLORIDA
MONROE
!100MS
MUST BE DISPLAYED IN CONSPICUOUS PLACE
EMPLOYEES
SEATS
31-40
30140 CONTRACTOR
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MONROE COUNTY
00 - COUNTY OF MONROE
BREWER CO OF FLA THE
BREWER WAL TER R
9801 NW 106 ST
MIAMI FL
CONTRACTOR ENGINEERING
'filS BH~m,j[S .\ Ti\X , H A R R Y F K N I G H T C F C T A X CO L LEe TOR
lcCCIf'fWHFN\~\I,!!.J,~JFDp 0 BOX 1129" KEY WEST FL 33041-1129
0000000000 0000007200 0000301400000308 1001 2
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ACCOUNT 30140-0000308
EXPIRES
SEPT. 30" 1995
X
SUi"PLEManAL
J1Er,JEWAL
NEW LICENSE
TRANSFER.
ORIGINAL TAX
.AMOUNT
PENALTY
COLLECTIOtJ COST
TOTAL
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P -, 'O:D D :J:>
-Ol-ol1D -i ...(1 x :::0
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72.00
72.00
^tri 21. 199J
III l'ririins
MONROE COUNTY, FLORIDA
_ INSURANC:O~ECKLlST
I, VENDORS SUBM11TING PROPOSALS
FOR WORK
il
~. To assist in the development ofyouT proposal, the insurance coverageS marked with an "X" will
; . be required in the event an award is made to your firm. Please review.tbis fnrm with your
.. insurance agent and have himlher sign it in the place provided. It is also required tfloa the bidder
tl sign the form and submit it with each proposaL
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
WCJ
WC2
WCJ
WCUSLH
x
Workers' Compensation
Employers Liability
Employers Liability
Employers Liability
US Longshoremen &
Harbor Workers Act
Federal Jones Act
Statutory Limits
$100,000/$500,000/$100,000
$500,000/$500,000/$500.000
$1,000,000/$1,000,000/$ 1,000,000
Same as Employers'
Liability .
Same as Employers'
Liability
x
INSCKLST
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STJPl:)I,EMENTARY INSURANCE DOCUMENTS
00900-3
Api n. J99J
lit .......
GENERAL LIABILITY
.
Products and Completed Operations
Personal Injury
. Premises Operations
· Blanket Contmctual
· Expanded Definition.
of Property Damage
I Required Limits:
I GLI
I GL2
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S100,OOO per Person; $300,000 per Occurrence
S50,000 Property Damage .
or
$300,000 Combined Single Limit
$250,000 per.Person; S500,OOO per Occurrence
$50,000 Property Damage
or
S500,000 Combined Single Limit
S500,OOO per Person; SI,OOO,OOO per Occurrence
S100,OOO Property Damage .
or
SI,OOO,OOO Combined Single Limit
; ;
I Required Endorsement:
IGLXCU X Underground, Explosion and CoJIapse (XCU)
GLLlQ Liquor Liability
IAII endorsements are required to have the same limits as the basic policy.
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^cIminiSlnli\'e InstJUdian .
1.4709.01
12/13/93
INSCKLST
SUPPLEMENTARY INSURANCE DOCUMENTS
00900-4
l\fri 22.. 199J
,.. l'rinlinl
VEHICLE LIABILITY
As a minimum, coverage should extend to liability for.
. Owned; Nonowned; and Hired V chicles
Required Limits:
VLJ
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$50,000 per Person: $100,000 per Ocairrence
$25,000 Property Damage -, '"
or
$100,000 Combined Single Limit
$ I 00,000 per Person; $300,000 per Occurrence .
S50,000 Property Damage
or
$300,000 Combined Single Limit
S500,000 per Person; $1,000,000 per Occurrence
SI 00,000 Property Damage
or
SI,OOO,OOO Combined Single Limit
MISCELLANEOUS COVERAGES
Builders'
Risk
Motor Truck
Cargo
Professional
Liability
PoJlution
Liability
Employee
Dishonesty
Garage
Keepers
MedicaJ
Profossional
INSCKLST
Limits equal to the
completed project.
Limits equal to the maximum
value of any one shipment.
$ 250,000 per OccurrencelS 500,000 Agg.
S 500,000 per Occurrencel$I,OOO,OOO Agg.
$1,000,000 per OccurrencelS2, 000, 000 Agg.
S 500,000 perOccurrencel$I,OOO,OOO Agg.
$1,000,000 per OccurrencelS2,OOO,OOO Agg.
S5,000,ooO per OCCl1I'TencelSlO,OOO,OOO Agg.
S 10,000
S 100,000
S 300,000 (S 25,000 per Vcb)
S 500,000 (SIOO,OOO per Veh)
,$1,000,000 ($250,000 per Veh)
$ 500,000/S 1,000,000 Agg.
SI,OOO,OOO/S 3,000,000 Agg.
$5,000,000/SI0,000,000 Agg.
;~/11/Q~
00900-5
SUPPLEMENTARY INSURANCE DOCUMENTS
IF
Installation
Floater
Hazardous
Cargo
Transporter
Bailee Liab.
VLPl
VLP2
VLP3
BLL
HKLI
H!.~J 2
HKiJ
Hangarkeepers
Liability
Aircraft
Liability
Architects Errors
& Omissions
Apnl 22. I 'J'J]
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Maximum value of Equipment
Installed
$ 300,000 (Requires MCS-90)
$ 500,000 (Requires MCS-90)
$1,000,000 (Requires MC;3-90)
Maximum Value of Property
$ 300,000
$ 5~0,OOO
$ 1,000,000
$25,000,000
$ 1,000,000
$ 1,000,000
$ 250,000 per OccurrencclS 500,000 Agg.
$ 500,000 per Occurrence/St,ODD,ODD Agg.
$ 1,000,000 per OccurrencelSJ,DDO,ODO Agg.
INSURANCE AGENT'S STATEMENT
I have reviewed the above requirements with the bidder named below. The following dcductibles
apply to the corresponding policy.
understand the insurance that will be mandatory if awarde
vith all the requirements.
The Brewer Company of florida, Inc.
POLICY
Comm. General Liability
iability policies are ~ Occurrence
Claims Made
LON IDRTH CORW INSURANCE GROUP
Insurance Agency
Bidder
INSCKLST
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n0flnn r:
ininntivc lmUuctlOQ
DEDUCTIBLES
$1,000.00 Property Damage
/~-
'contract <!nd will comply in full
Walter R. Brewer
':-:.:.:.:-:.:-:-:-..:-'.-:.:.:.:.:.:-:-:-'.:-:.:..:--.:.:-:.:-:-:-:-:-:-:-:-:.:.:-:.:.:-:-:.::-:.:-:.:-:-::-:-:.:.:.:.:.:-:.:.:-:.:.:-:.::.:.::.:.:-:-:.:-:-:-:-:-:-:-:-:.:-:-::-:-:-:.:-:.:-:-::-:.:-:.:-:.;-:.;.:.:.:-:-:-:-:-:.:.:-:-:-:-:-:.'-:.:-:.:-:-:-:-:-:.:-:-:.:-:-:-:-:-;.:-:-:-:-:-;-:-:-:-:-:-:.:-: -:-:-:-;':-:-:';':-:';':-;':-::':-:-;':-:-:-:-:-:-:-:-;':-:-:-:':':';';':-:-:-:-:-:'.
~EII1J'I~I~~...._~II_lg_IN~I~IQ4~~~
ISSUE DATE (MM/DDIYY)
ON WORTH CROW INS GROUP
.0. BOX 141916
ORAL GABLES FL 33114-1916
01/04/95
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A NORTHERN INSURANCE COMPANY
LETTER
COMPANY B ASSOC GENERAL CONTRACTORS
INSURED LETTER
REWER COMPANY OF COMPANY C
LORIDA INC LETTER
0400 NW 121 WAY COMPANY D
IAMI, FL 33178 LETTER
COMPANY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICAtE MAY BE ISSUED OR MAY PERTAItt. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POllI.iIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
0 POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
TR ATE (MMIDDIYY) DATE (MM/DDIYY)
EPA24334576 1/01/95 1/01/96 GENERAL AGGREGATE $ 2 000
OMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1 000
LAJMS MADE [iJOCCUA. PERSONAL & ADV. INJURY $ 1 000
OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $ 1 000
FIRE DAMAGE (Anyone fire) $ 50
MED.EXP. (Anyone person) $
EC85901155 1/01/95 1/01/96 COMBINED SINGLE
LIMIT $
ALL OWNED AUTOS BODILY INJURY
(Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE
86895225 1/01/95 1/01/96
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION 8801290 1/01/95 1/01/96
AND
DISEASE-POLICY LIMIT
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATlONS/LOCATlONS/VEHICLES/SPECIAL ITEMS
OB: CUDJOE KEY ROADS II
ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED
XCEPT FOR WORKERS COMPENSATION.
... ..................J~. ... . ...................<(<...........<.l.,~TJQ".>
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCellED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO
MAll-3...0-- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
lEFT, BUT FAilURE TO MAil SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR
lIABilITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
MONROE COUNTY PUBLIC
WORKS DIVISION
5100 COLLEGE ROAD
KEY WEST FL 33040
>i AUTHORIZED REPR~ TATlVE , ", ....,..-_ ...._
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